| NPI | 1104625615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 239761) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN118258) |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-14 |